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Is Our Hygiene Delivery System Unsafe and Unreliable? by Wendy Briggs, RDH I saw this quote from Dr. Donald Berwick, the Director of Medicaid and Medicare and it really made me think. He said, “Healthcare is broken. We have set up a delivery system that is fragmented, unsafe, not patient-centered, full of waste, and unreliable. Despite the effort of the providers, we built it wrong. It is not built for modern times.” When you really think about it, we could say the same thing about dentistry. We’ve set up a delivery system that is fragmented, unsafe, not patient-centered, full of waste, and unreliable. I don’t think it’s the same extreme as the healthcare system is but there’s a lot of truth in that statement. We see this from patients all the time. Online we often see posts like …. “Why do I keep getting cavities? I brush, floss, and rinse with fluoride twice daily.” “Six months ago I was at the dentist and they didn’t do x-rays and said my teeth looked okay. This time, they did x-rays and said I had 7 cavities and would need a crown!” T P D winter 2 0 1 6 38 email@example.com Smart Hygiene “This is my third dentist, and I like him, but he cannot tell me why I keep getting cavities.”